KIMBERLY ELLIS

WILLIAMSON, WV
NPI1972191195
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  44540)
Enumeration Date2021-01-04
Last Update Date2021-01-04
Business Address
KIMBERLY ELLIS APRN
104 LOGAN ST
WILLIAMSON, WV 25661-3606
Phone number: 304-236-5902
Mailing Address
KIMBERLY ELLIS APRN
104 LOGAN ST
WILLIAMSON, WV 25661-3606
Phone number: 304-236-5902